• Curr Opin Anaesthesiol · Apr 2024

    Review

    How much does it cost to be fit for operation? The economics of prehabilitation.

    • Iulia Crişan, Ksenija Slankamenac, and Federico Bilotta.
    • Department of Emergency Medicine, University Hospital of Zürich, Zürich, Switzerland.
    • Curr Opin Anaesthesiol. 2024 Apr 1; 37 (2): 171176171-176.

    Purpose Of ReviewPrehabilitation before elective surgery can include physical, nutritional, and psychological interventions or a combination of these to allow patients to return postoperatively to baseline status as soon as possible. The purpose of this review is to analyse the current date related to the cost-effectiveness of such programs.Recent FindingsThe current literature regarding the economics of prehabilitation is limited. However, such programs have been mainly associated with either a reduction in total healthcare related costs or no increase.SummaryPrehabilitation before elective surgery has been shown to minimize the periprocedural complications and optimization of short term follow up after surgical procedures. Recent studies included cost analysis, either based on hospital accounting data or on estimates costs. The healthcare cost was mainly reduced by shortening the number of hospitalization day. Other factors included length of ICU stay, place of the prehabilitation program (in-hospital vs. home-based) and compliance to the program.Copyright © 2024 Wolters Kluwer Health, Inc. All rights reserved.

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